# CARRILLO SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295891836
- **Authorized official:** ALAN P MOELLEKEN M.D. (M.D.)
- **Authorized official phone:** (805) 563-3307

## Contact information

- **Practice address:** 401 E CARRILLO ST, SANTA BARBARA, CA 93101-1460
- **Practice address phone:** (805) 563-3307
- **Practice address fax:** (805) 563-3827
- **Mailing address:** PO BOX 5457, SAN LUIS OBISPO, CA 93403-5457
- **Mailing address phone:** (805) 963-4785
- **Mailing address fax:** (805) 957-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G68712 | CA | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 06/17/2022